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Emergency Surgical Management of Traumatic Cardiac Injury in Single Institution for Three Years
( Seok Joo ),( Dae Sung Ma ),( Yang Bin Jeon ),( Sung Youl Hyun ) 대한외상학회 2017 大韓外傷學會誌 Vol.30 No.4
Purpose: Thoracic traumas represent 10-15% of all traumas and are responsible for 25% of all trauma mortalities. Traumatic cardiac injury (TCI) is one of the major causes of death in trauma patients, rarely present in living patients who are transferred to the hospital. TCI is a challenge for trauma surgeons as it provides a short therapeutic window and the management is often dictated by the underlying mechanism and hemodynamic status. This study is to describe our experiences about emergency cardiac surgery in TCI. Methods: This is a retrospective clinical analysis of patients who had undergone emergency cardiac surgery in our trauma center from January 2014 to December 2016. Demographics, physiologic data, mechanism of injuries, the timing of surgical interventions, surgical approaches and outcomes were reviewed. Results: The number of trauma patients who arrived at our hospital during the study period was 9,501. Among them, 884 had chest injuries, 434 patients were evaluated to have over 3 abbreviated injury scale (AIS) about the chest. Cardiac surgeries were performed in 18 patients, and 13 (72.2%) of them were male. The median age was 47.0 years (quartiles 35.0, 55.3). Eleven patients (61.1%) had penetrating traumas. Prehospital cardiopulmonary resuscitations (CPR) were performed in 4 patients (22.2%). All of them had undergone emergency department thoracotomy (EDT), and they were transferred to the operating room for definitive repair of the cardiac injury, but all of them expired in the intensive care unit. Most commonly performed surgical incision was median sternotomy (n=13, 72.2%). The majority site of injury was right ventricle (n=11, 61.1%). The mortality rate was 22.2% (n=4). Conclusions: This study suggests that penetrating cardiac injuries are more often than blunt cardiac injury in TCI, and the majority site of injury is right ventricle. Also, it suggests prehospital CPR and EDT are significantly responsible for high mortality in TCI.
EFFECTS OF TEST CONDITIONS ON FUEL ECONOMY OF GASOLINE-POWERED VEHICLE
Seokjoo Kwon,Minkyung Kang,Youngho Seo,Sungwook Park 한국자동차공학회 2018 International journal of automotive technology Vol.19 No.2
In this study, the influence on fuel economy testing of gasoline-powered vehicles is evaluated for various test conditions (e.g., laboratory temperature, soaking time, cooling fan, battery charge state, and driving mode tracking). It showed a difference in fuel economy results of approximately 3 % between low (88 %) and high (99 %) battery state of charge conditions because the alternator saving function has a positive effect on fuel economy. Fuel economy testing with laboratory temperature changes gave a slight reduction at 21 °C and slight increase at 29 °C. The cooling fan changes had an almost negligible effect on fuel consumption. The largest fuel economy result varied by 5.2 % in the soft, standard, and rough driving conditions.
SeokJoo Lee,YoungJe Sim 대한스포츠물리치료학회 2018 정형스포츠물리치료학회지 Vol.14 No.2
Purpose: The purpose of this study was to investigate the effect of boxing combined training on cardiopulmonary function and health-related fitness in male college students over a period of eight weeks. Methods: Eighteen male students were randomly assigned to the following groups: boxing exercise (n=6), aerobic exercise e(n=6), and non-exercise (n=6). The exercise program was conducted for 50 minutes every three weeks, for a total of eight weeks. After eight weeks, the factors that affected the measurement variables were analyzed, and the following results were obtained. Results: Participants in the eight-week boxing exercise group and the aerobic exercise group showed significantly increased maximal oxygen, which was not observed in the control group. The body mass index decreased in the aerobic exercise group, but did not significantly differ between the boxing exercise and control groups. Body fat (%) and abdominal fat (%) significantly decreased in all exercise groups, but significantly increased in the control group. Skeletal muscle mass increased in the boxing exercise group, but did not significantly differ between the boxing, aerobic exercise, and control groups. Muscular strength and muscular endurance increased in both exercise group, but did not change in the control group. Flexibility showed no differences between the groups. Conclusions: In conclusion, an eight-week boxing exercise program for college students showed positive effects on cardiorespiratory function and health-related fitness.
SeokJoo Lee,Jongmin Lim 대한스포츠물리치료학회 2018 정형스포츠물리치료학회지 Vol.14 No.2
Purpose: The purpose of this study was to examine the effects of the one-time aerobic exercise on pulmonary function, oxygen saturation, and smoking in male college students in their 20’s. Methods: The experiment was performed on 11 healthy men who had no musculoskeletal or neurological diseases and who smoked. The subjects performed an aerobic exercise for 30 minutes, using a step box. Before and after the exercise, forced vital capacity (FVC), forced expiratory volume for one second (FEV1), and oxygen saturation were measured. Results: Between the two measurements, there were no significant differences in oxygen saturation (p>.05). However, the differences in FVC and FEV1 were statistically significant (p<.05). Conclusions: The results of this study demonstrate that a one-time aerobic exercise improves pulmonary function.